Diagnostic and Interventional Radiology
Interventional Radiology - Original Article

Assessment of complication rates based on time of feeding initiation in radiologically guided gastrostomy tubes: a retrospective study

1.

Division of Vascular and Interventional Radiology, Department of Radiology, University of Chicago, Chicago, USA

2.

Division of Vascular and Interventional Radiology, Department of Radiology, University of Arizona, Tuscon, Arizona, USA

Diagn Interv Radiol 2021; 27: 529-533
DOI: 10.5152/dir.2021.20059
Read: 170 Downloads: 31 Published: 17 July 2020

PURPOSE 
We aimed to assess the association between complication rate and time to feeding in a cohort of patients undergoing radiologically guided placement of gastrostomy tubes. 

METHODS
A retrospective study was conducted of all patients receiving pull-type and push-type gastrostomy tubes placed by interventional radiologists between January 1st, 2017 and December 31st, 2018 at a single institution. Primary outcomes included procedural and tube-related complications per medical chart review with a follow-up interval of 30 days. Exclusion criteria were enteral nutrition delayed more than 48 hours, no feeding information, and tubes placed for venting (n=20). Overall, 303 gastrostomy tubes (pull-type, n=184; push-type, n=119) were included. The most common indications for placement included head and neck carcinoma for push-type tubes (n=76, 63.9%) and cerebral vascular accident for pull-type tubes (n=78, 42.4%). 

RESULTS
In a multiple regression analysis, there was no statistically significant association between complications and time to feeding (p = 0.096), age (p = 0.758), gender (p = 0.127), indication for tube placement (p = 0.206), or type of tube placed (p = 0.437). Average time to initiation of enteral nutrition was 12.3 hours for the pull-type and 21.7 hours for the push-type cohort (p < 0.001). Additional multiple regression analyses of pull-type tubes and push-type tubes separately also did not find any significant association between complications and the above factors (p > 0.05).

CONCLUSION
There was no statistically significant correlation between time to feed and complications, suggesting that there is no clinical difference between early and late feeding following gastrostomy tube placement.

You may cite this article as: Judd R, Klejch W, Lionberg A, Patel MV, Funaki B, Ahmed O. Assessment of complication rates based on time of feeding initiation in radiologically guided gastrostomy tubes: a retrospective study. Diagn Interv Radiol 2021; 27:529-533

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